Reimbursement Officer IIIReimbursement Officer III - Performs professional, technical, and administrative duties managing the operations of a large Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) based reimbursement office implementing at least three major reimbursement programs. Supervises the determination and assessment of proper charges, maintenance of accounts receivable, and collection of charges for services provided by the facility.
Works with minimum supervision of the Manager, Revenue Management section in the HHSC state office, exercising a significant degree of initiative and independent judgment in the performance of duties, supervising one or more subordinates in their performance of reimbursement tasks. Reports to facility Assistant Director of Administration (ADOA). Essential Job Functions:
Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. As needed, provides facility staff information pertaining to individual's financial status, 3rd party coverage of medical services obtained off-campus, and benefits under Social Security, Supplemental Security Income, Veterans Administration, etc.
Completes intake of financial information at time of client's admissions and during follow-up reviews to access for possible source of reimbursement. Establishes and maintains accounts receivables. Enters financial transactions into the automated data system.
Answers inquiries on individual accounts as requested by payors. Identifies, completes, and arranges application process for benefits from Social Security and Supplemental Security Income programs on behalf of individuals with potential eligibility. Supervises and/or performs various activities necessary to collect Medicaid, Medicare Part B, and other 3rd party payors reimbursements.
Reconciles monthly cash receipts for both third party and non-third party collections for proper crediting of individual accounts. Performs office functions including maintenance of files, distribution of daily mail, answering telephone, greeting visitors, word-processing, and photocopying documents. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.Knowledge Skills Abilities:
NoneInitial Selection Criteria:
A minimum of two (2) years of responsible experience in health-related accounts and collection procedures obtained within the past five (5) years.
Experience within the past three (3) years with administrative, technical, and supervisory responsibilities.Additional Information:
The salary offered will follow HHS starting salary guidelines which are typically made at or near the minimum of the salary range. All applicants must pass: pre-employment drug screen, fingerprint criminal background check, and Client Abuse/Neglect Reporting System (CANRS), Employee Misconduct Registry and Nurse/Aide Registry checks and HHS OIG List of Excluded Individuals/ Entities.
Males between the ages of 18 25 must be registered with the Selective Service. All State Supported Living Center employees are subject to Random drug testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.MOS Code:
Note: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to:
LS, 3432, 6F0X1. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor's Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.
HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Texas Health & Human Services Commission